Case Study : Client Mental Health Characteristics Essay

Cassie presents with multidimensional and complex problems. The problems are inter related and need to be addressed concurrently. This client presents with a history of anxiety and childhood sexual abuse which manifests as post traumatic stress disorder [PTSD], social phobia (social anxiety disorder) and depression. Wagner (2008) reports a strong association between social anxiety disorder and depression. Post traumatic stress disorder [PTSD] in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DMS-5; American Psychiatric Association [APA], 2013) specifically includes sexual violation as one of the diagnostic criteria for PTSD. Consequentially, co-morbid symptoms create dis-regulated behaviours which may have long

Conversely, resources can be accessed through the Provincial Health Services Authority, PHSA. PHSA believes that untreated mental illness can hugely impact employee health and works to support health care professionals, like nurses, to overcome emotional challenges (Provincial Health Services Authority [PHSA], 2017). Through their website, nurses suffering from a psychological injury can access resources such as the free and confidential Employee and Family Assistance Program, EFAP. Not only does EFAP provide Monday to Friday counselling services for employees, but the program also offers Critical Incident Stress Management Services, CISM. This provides 24 hour, 7 days a week triage, consultation and coaching for health care workers experiencing a traumatic event (Employee and Family Assistance Program, 2012). This program is a great tool for nurses and should be utilized whenever necessary.

As a working nurse on a behavioral health unit, I service many patients that are disadvantaged and/or vulnerable harm. There is a large population of people that are susceptible to developing illnesses and diseases. This population includes people who are: “educationally disadvantaged, economically disadvantaged, mentally disabled, handicapped, homeless, pregnant women, alcohol and substance abusers” (Henry, 2012, table 8). These people lack access to resources needed for medical care and everyday needs to sustain good health. In most cases the disadvantaged and vulnerable individuals lack daily hygiene, nutrition, sleep and physical activity. As stated in an article on the National Institute of Health (NIH) website:

Mental illness is a disease found worldwide, affecting a big chunk of the population. Some mental illnesses can be small such as ADHD and anxiety disorders whereas others are more severe like Borderline Personality Disorder and Schizophrenia. Treatment and understanding of these conditions used to be very poor, but the 1980’s started to change that. Although much treatment of mentally ill patients has gotten better, there is still room for improvement. With proper medication and therapy, people with mental illnesses can become fully functioning contributors to society. Most Westernized civilizations have a patient disclosure agreement that affects the patient 's ability to fully get better. Mental illnesses do not affect only old people, but they also have a huge impact on younger generations, and it is not as expensive to treat these patients as traditionally thought, especially if they are not let out before they should be. The treatment of mentally ill patients should be altered in a way that leads to patient happiness, while being cost efficient and helping future generations.

Comprehensive Mental Health Services (CMHS) is an organization in Kansas City, Missouri dedicated to serving those with mental illnesses, ranging from both low- to high-functioning. This group has a for-profit and non-profit side. The for-profit side utilizes doctors, nurses, and a pharmacy to aide in the non-profit side. Case workers, therapists, addiction recovery, and group homes are all funded via the organization. With diverse staff involvement, CMHS has a multitude of positions ranging from full-time salary doctors, to full-time hourly case workers, to volunteers. Volunteers vary between other organizations that CMHS collaborates with, including Harvester’s food pantry, and even patients who want to donate their time to some of the less-fortunate. While those with mental illnesses are oppressed, this report is not about their oppression, rather their open-mindedness on the oppression of those around them.

The major theoretical perspectives provide a framework for understanding and conceptualizing client’s current mental health issues and the potential contributory factors in the development of their problems. The present client, Toni Barone, is seeking treatment for her current unhappiness with her life, social isolation, and bereavement issues stemming from her father’s death.

D-The patient requested to see this writer, at which this writer agreed. The patient appears worrisome. The patient asked for assistance by this writer to help fill out an application for the probate court to file a custody petition for her grandson. This writer asked the patient if she had asked her DCF worker for help and the patient response was yes. The patient inform this writer that her DCF worker does not help her with anything or even have the answers to her questions regarding to her grandson care. This writer agreed to help the patient as much as possible and struggling urges the patient to have someone at the Probate Court to view the application to file a petition. The patient asked questions to this writer about receving financial assistance for her grandson since the patient needs help with the child basic needs. The patient been using her benefits from the state to care the child and is only

Objectives/Progress: Pt. has discontinued her use of opiates according to the last quarter UDS results, Pt. is now eligible to receive phase 1 take home privileges if she maintain her abstinence. Pt. demonstrated a improvement on her commitments to maintain regular dosing attendance. Also P During this upcoming quater, this writer will meet with pt. to establish rapport and trust. This writer will reinforce the importance of remaining in recovery and to resolve her current legal issues by the next month. Pt. identified her children as a motivational factor to change and to . The counselor told Pt. that he needs to be free from drugs (cocaine) in order for his prescribed medications to work and be more effective. Counselor will help patient understand the importance of restitution to self worth and then help in developing a plan to provide restitution.

Mental illness affects 1 in 5 adults in the United States. This amounts to about 43.8 million or 18.5% of adults in the United States ("Any Mental Illness Among U.S Adults," n.d). This shows how prevalent mental illness really is in our society. More specifically, Bipolar Disorder is found in about 2.6% of the adult population ("Bipolar Disorder Among Adults," n.d). Bipolar disorder ranges in severity but the majority of the cases are considered severe. Bipolar Disorder is broken down into three categories as follows: Bipolar I, Bipolar II, and Cyclothymic Disorder. For the duration of the paper, Bipolar I Disorder will be referenced. Bipolar disorder is characterized by manic episodes that may alternate with depression or agitation. The etiology of Bipolar Disorder is biological and environmental. It is a strongly heritable disease at approximately 80-90% heritability. Bipolar Disorder is related to neurotransmitters such as norepinephrine, dopamine, and serotonin and their dysregulation in the body. Excessive amounts may lead to mania while too few may lead to depression. Environmental stressors or trauma also contribute to the development of bipolar disorder (Halter, 2014). The patient that will be discussed in this paper is a forty-one year old African American woman who was involuntary committed to Montgomery County Emergency Services (MCES) as a result of severe mania and psychotic symptoms.

Robbins and Judge define "attitudes" as “evaluative statements or judgments concerning objects, people, or events.” Jessica’s attitudes towards her job switched from favorable to unfavorable after a change in policy. Henceforth, she was less productive in her job and expressed signs of low job satisfaction. After leaving her Mental Health Technician position for a job in Counseling, she was able to return to her normal, happy and productive self. This case study illuminates the direct correlation between job performance, job satisfaction, and attitude.

Team Recommendations: Joshua should continue in the program and continue working on sustaining his commitment towards the treatment goals and objectives established.

Client is a 35 year old African American female with an 12th grade education level who presented with signs and symptoms of forgetfulness, depression, severe anxiety, stress, uncontrollable mood swings and difficulty making decisions. During the assessment, the client struggled with bouts of crying triggered by memories of her past. The client was recently hospitalized at VCU Hospital for signs and symptoms related to a panic attack. The client has been given the diagnosis of Major Depressive and Anxiety. The client has been prescribed Prozac. Currently the client does not have a PCP or psychiatrist.

Theories play an important role in how a counselor serves their clients. Theories provide counselors with a foundation on which to build their counseling style. “Theories ground us as professional counselors. They provide a means to understand what we are doing, how we are serving clients, and how to explain counseling to clients” (Erford, 2010). Counselors are responsible for being aware of different theories in order to apply them appropriately within their practice. Established and new theories play an important and constant role in mental health counseling. Established theories in mental health counseling are based on “empirical or scientific foundations” (American Counseling Association, 2005). The best way to gain the most

The theoretical foundations of A. T. Becks cognitive therapy and Ellis’s rational emotional behavioral therapy 0will be used to assess Jane`s situation. The two comes up with different opinions towards Jane’s situation. Both of them have come up with different opinions although they have some similarities. Ellis and Beck all lay under one circumstance.

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).